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9950 NE 4 Ave Rd (5)MIAMI SHORES VILLAGE /BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 5 /f Type Insp'n �Q 7/& Permit No. 05 Inspection Date pprov d c =� Correction ❑ Re- Insp'n Fee ❑ Name - .CN 9 t - &_)' Address ✓7 V N G ', Company _ Phone # 05 -7s-7-0-0. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 0 Buildi g Inspection Request C J Date G Type Insp'n — 1 — (— O Permit No. 2 0 5 — 41 t Name V L Address Company Phone # Inspection Date pprov Correction Re- Insp'n Fee r4IAMI SHORES VILLAGE 1 I3UILDING DEPARTMENT b� � \S S 305- 795 -2204 V Building Inspection Request Date Type lnsp'n Permit No. ,/` ,, Name O 4ec c,- Address 5O Company 0 Phone # Ins ion Date 41 --7 Correction Re- Insp'n Fee ' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Correction Bu'. ding Inspection Request 4 \ Dates 0 Type Insp'n Amho' 3kel . Permit No. 81 '' G. Name JO f tn VI Oa Address {� ,�/y Company 0 !/pI t.v Phone # Inspection Date CS 1 \)5 Re- Insp'n Fee ❑ 6 Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 9" 305- 795 -2204 B uilding Inspection Request Date Address t�J o iVE /0/ S Company Phone # Inspection Date G Z 1 - 0 `pp vee - 9( ‘/ Correction ❑ Re- Insp'n Fee ❑ cr <o. \ cy Q. Name Phone # Inspection Date Correction MIAMI SHORES V* BUILDING DEPA' 305- 795 -27 Building Inspecti Date Type Insp'n / Tie 6eonn Permit No. 6196 -37 r.. 09(1 rl ✓1 Address 550 r tot Compan 1 IZO N I Re-Insp'n Fee ❑ Inspection Number: INSP- 4 6508 Inspection Date: 0111912006 Inspector: Grande, Claudio Owner: ORTEGON, VICTOR Job Address: 550 101 Street NE Miami Shores Village, FL Project: <NONE> Building Department Comments Wednesday, January 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC Permit Number: BP2003 -516 Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060171160 Lot: Phone: 305 - 757 -2612 Page 2 of 2 l 1 1 Passed U Inspector Comments v 5"-€ A,4 0 K_- eit‘) Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP- 4 6508 Inspection Date: 0111912006 Inspector: Grande, Claudio Owner: ORTEGON, VICTOR Job Address: 550 101 Street NE Miami Shores Village, FL Project: <NONE> Building Department Comments Wednesday, January 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC Permit Number: BP2003 -516 Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060171160 Lot: Phone: 305 - 757 -2612 Page 2 of 2 Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or 9 1 111 26 Gi" 51 76 2 27 52 77 3 28 53 78 4 29 54 79 5 30 55 8o 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 38 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 ✓ 71 96 22 47 •f 72 97 23 48 73 98 24 49 74 99 25 _ r 50 75 100 _ Owner's Name: Job Address: Roofing cc Contr l�tof �� ' ' Type of Tile: 'K I. "i� tf�t F� f7-� C. A _ i A- C'Ca Approximate Roof Height: 7-4 feet Type of Access to Roof: Scaffolds ✓ Ladder Approximate Square Footage of Roof D V ft Required Testing Force: 35 lbs. Date Tested K l D --D 5 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT SUBMITTED BY: Lab Certification # 98 0608.04 State of FL Certificate Authorization # 4100 U.S. SOUTH Project No 6 6 7 7 Engineering & Testing Lab., Inc. l 4 firms T- 6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015 C.4 4,654 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE PROTOCOL TAS 106 SITE SPECIFIC INFORMATION Uv CADV Permit # oos - I 55d is to cpi to i t.l k S -? 1 -"1 P.E. (3 1o'7 - 11 -04' Testing Equipment: Chatillion 100 TEST RESULTS P =PASS,F =FAIL Date Installed• 'A 5 Roof Pitch: 3 - 1 - lz Other Sketch of Roof Job • mr Sheet Number Contractor C c' Checked' By Scale -�o 1 Notes: �1 FINAL FOR 10 CANOPY AWNINGS. Inspector Comments Ai Passed D el .5 o_Ai 4_q' /e -uWluh i S / �n.e S p4cog --S •"). - go v cd 'e„ teh S u/71 6rL'r `` / / , ?hi r ,4,_,e . L is r - e cj f 001 Z- . Failed l Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number IN SP_E umber: BP2005 -1520 Inspection Date: 0111912006 Inspector: Grande, Claudio Owner: GONZALEZ, ALAIN Job Address: 389 99 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: AWNING OF MIAMI, INC. Building Department Comments Wednesday, January 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 7861277 -9756 Parcel Number 1132060135540 Lot: Phone: 305/261 -1220 Page 2 of 2 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Q Date Time br, Type Insp' �i 4 OD ff Permit No. )9� 03- • S/ (1 Name Address 5 €P /\t `t v /01 Company Phone # For Inspector: Approve Correction Re- Insp'n Fee Name & Date /4 P For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No. Name — Address 5 � n / Company Phone # Name & Date �VIIAMI SHORES VILLAGE V t" BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date (0/ Type Insp'n gop n G Permit No. 6P Q 5' (O. Name • O i n Address 5 SO N t_ (01 S4 Company Phone # Approved rrecti Re- Insp'n Fee O ►D-ecnou)f - 305 - 7 - 2 / Inspection Date z'f ) 6ise c7- 1 / V► 7 3o i fft,cto Eat (��e�s (4l /(Qt( /t7 Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi g Inspection Request Date 1 �� "� P Permit No. 6P 1065- two 51 Name Or J'e9 Address 5 S Q 1.19 (a 1 3 Company 61 O !Qi■r Phone # Inspection Date @lq Correction ❑ Re- Insp'n Fee ❑ BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Qualifier Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * ** * * * * * * * ** Zoning Code Enforcement $ Structural Plan Review. $ CCF$ Bond $ Permit No.I'VhY, ✓ " Master Permit No. Permit Type (circle): Building Electrical Plumbing �Q Mechanical Roofing Owner's Name (Fee Simple Titleholder) AM Al 0 N` � tfon Owner's Address / 4./ E / e-/ f 7 ti V I c '11' t `- Dr 4- City ,.// 4 ' -' , jhO State P7 Zip ' 1/ Tenant/Lessee Name Phone # County Miami -Dade Zip NO 1/ Contractor's Company Nanie /� CA/ fxv/1 LU ,I Phone # ‘ 75 7,2 6/? Contractor's Address 9 .3 d ( A) C_-_ / 0 3 I S - .i ri Zip Y f I 3 i cit PrAmi SAihrey State State Certificate or Registration NoC.) L' / 3C) 6. Certificate of Competency No. l_ c..t(�`�C� 66 qS Architect/Engineer's Name (if applicable) IL f( 4'I� e4. Phone # $ Value of Work For this Permit e::3 f 00 V Square Footage Of Work: Type of Work: ❑Addition ,[ ❑Alteration . New ❑ IL (r 11] Demolition Describe Work: / r J � I t- V () 1 IL- ( Z' Z t #1 &S AMOK.= FA ri,2i71 1 CO /CC Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a,separate )permit must be, secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CQNDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ---OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a • •v of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject • att.' hment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection ' ich o curs se en (7) days after the building permit is issued `n'the absence of such posted notice, the inspection will of be as •roved emd a re spection fee will be charged. The forego day of who is Chc 05/13/03 Owner or Agent g instrument was acknowledged before / me this The foreg 4 C , 2 J V by `.J 4- � l 7 / Vkj ,) day of who i •personally known to me or who has produced sonally known to me or who has produced NOTAR IC: Si Ott✓(- 6(,47, As identification and who did take an oath. as identification and wl o did take an oath. , t C Print: } , lly p , .6 . 1....." " I¢ ' , My Commission Ex EgP . i . nr ion Expires: to, ,..-..... g _ -,- i,.� q - tlr �. Signatur NOTARY PUBLI Sign: Contractor ng instrument was acknowledged before me this by -Lei ktCS )),LL ********************************************************* - JAN - 72uu APPLICATION APPROVED BY: Plans Examiner Engineer Zoning 11/03/2004 FR M :ZION T LLE f .. tVtIAMt'O 13:2? MEDITERRANEAN ROOF T I L E - 305 ?583484 305 252 9116 FAX NO. :305 252 9116 NMI HUMMING CODE COMPLIANCE OEI ICI; (UCCU) I°ttoLUer CCN411(ot Utvtsio NOTICE OF ACCT 1'TANCE C PA) Zion Ttic Corporation 13450 SW 126' Street Mistral, Florida 33186 This consists of pages l through 3. The subntltted documentation was reviewed by Frank Zuleagte RRC CITY Y Sep. 25 2032 09:01AM P1 NO.152 p001 at IAM l -DA UE COUNTY. FLORIDA METRO -DAUB t=LAC,LLIt r3U1LDING ( 40 W£57' FL,Af:LE:tt SrttF.; :T. su!Tr. 1603 MIAMI, FLORIDA )3t30 -IS63 rtes) 373- 19Dt FnX (.309) 97S -2908 • • SCOPE: This NOA is being issued m u t d ling been reviewed by Miami-Dade -Da a Co y Product t Co construction trol Division and accepted The dvc a iird oIi tu subntttt by t limn! of Roles anti Appeals (13014.A) to be used in iVtiami Dade County and other Areas wirero allo■ve by • the Authority Slaving Jurisdiction (AIM. trol This NOA shall not be valid n tier the expiration r1a i arias other th� Miami Dade. County) P reserve the r t i ht isa nmi-Dade County Division (hi Miami Dade County) and /or tic /Iii) (n have this product or nretcrial tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the nrtttru[nclurcr will the product ur m� crin p w a t f � f n their immediately the right revoke, modify, or suspcntl the use of "such to revoke this acceptance, if it is determined by Miatni -Dade County Product Control Division that this product or rttn teriat fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity i furricanc Zone of'the Florida Building Code. DESCRI1'1•iON: Alhambra linnthnade Clay Tile LABELING ; tench unit shall bear n pernutneot litre; with the manufacturer's moo:: or logo, city, state and following statement: "Miami-Dade County Product Control Approved ", carles% otherwise noted herein. 115,NEwAL of this NOA shall be considered after ;t renewal application has been filet'.! and there has been no change in the applicable building code negatively trffi:t:tirtg the performance of this product. '1 "lrltM tNAT1rC1N of this NOA will occur after the expiration en � nn endorsement ofany in the 'materials. use, and/or nurlmLItaCiul L of the pCodu process. Misuse of this NOA product, for sales, advertising or any other purposes Shall automatically terminate this NOA. Failure to comply with arty erection of this NOA shall be cause for termination and removal of NOA. A uvi It rI5PIErsIT: The NOA tutnrber preceded by the words Miami - Dads` Count', Florida, 'anti followed by the expiration (late may be displayed in advcrtisin); literature. If any portion of t he NOA is displayed, that it shall be dune in its +: [direly. 1 NSi'1;C1'ION1 A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be avnil:tbtc for inspection nt the job site in the request of the Building Official. ('40A Nan 02- O603.04 Expiration Dates 07/05/07 Approval Urlct 07035 Ingo 1 of 3 :7.10N TILE 9 ' ROOFING ASSEMMMBJ Category: Sub- Category: Material: Maiminejjireti bt Att►t "Alhambra Tile" Trim Pieces li : c.' 7 11ED I TERRANEPN ROOF TILE -? 3057508484 .Y APPROVAL Rooting 2. PRODUCT DESCRIPTION 18" tvft "to taper . thick 1= varies w varies varying thickness FAX N0. :305 252 9115 Roofing Tilts Clay Test Sneeitictttio ASTMC 11(,7 ASTM C 1167 NO.152 U002 Sep. 25 2002 @9:02AM P2 1. SCOPE This roofing system using "Two Piece Barrel Alhambra ", es manufactured by Zion Tile Corporation described in Section 2 of this Notice of Acceptance. Far locations where the pressure requirements, as determined by applicable Building Codc does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in Section 4 herein. The attachment calculations shall be done as' an uplift based system, Product Nigh profile, two clay roof tile. For direct deck adhesive set applications only. Accessory trim, concrete roofpicees for use at hips, rakes, ridges and valley temlinations. Manufactured for each tile profile, 2.1 Components or products manufactured by others Test Product 'roe dct Dimensions, Stay ticntla c ..s_ 12escrirt{1<tn M :yip fall vtre„r Roof Tile Adhesive N/A &c NOA Two component pnlyurethanc Polyroam ( "rolyprotS adhesive designed for Products, Inc. AH160 ") adhesive set roof tile with current 740A applications. 3. LJMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami - !)aide: Count" Certified Laboratory 10 perform quarterly test in accordance with TAS 112, appendix 'A'. Stich testing shall be submitted to the Building Code Compliance Office fur review. 3.4 Minitmitn underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 kith 3.5 30 /90 hot mopped underlayment applications may be instal /cc! perpendicular to the roof slope unless stated otherwise by the underlaymcnt material manufacturers published literature. 3,6 This acceptant is for wood deck applications. compliance with applicable Building Codc, Minimurrt dock requirements shall be in t'1O No.: 024103.04 Expiration Date: OW/07 Approval Date: 01105/il5 Naga 2 or3 ; FRC)f : ZION TILE . INSTALLATION 4.1. t "Alhambra Tile" and its components shall be installed In strict compliance. with Roofing Application Standard RAS 120. Tile • Profile Two Piece Barrel P11tarnbra Tito S. LAIIG,,ING All tiics shall bear the imprint or identifiable marking of the manuf'acturer's name or logo, or following statement: "Miarrri -Dade County Product Control Approved ", (t. BUILDING PERMIT REQUIREMENTS 6, t Application for building permit shall be accompanied by copies or the following: 6,1. l This Notice or Acceptance, 6.12 My other documents required by the Building Official or applicable Eluilding Code in order to luoperly evaluate the installation *Tiflis system, 4,2 Data For Attachment Calculations Tobin. 1: Averaii&yilitt and lmenslons f )i Tile Profile ti el U9•W - (fahti_ Width - w jfeotl Two ieca Sorrel 0.90 1130 0.67 evg. Ali Tile 13:27 PIED I TERRANEAhd ROOF FILE 4 305758E464 FAX tom, : 252 9116 Tobio 2: Minimum cnaractertge. Resistant° L Tiro _Adhesiva Set M ortar Sol PROFILE DRAWING "A1411AMO A TILE" END OF THIS ACCEPTANCE Scp. ' 25 2002 09: 02ANr P3 ad - F' ttbt� A �w+n Attachment Resistance 217. NOA No.: 01-0603.04 Expiration Data: 07/0507 Approval Onto: 07 /OS /117 Page or M0.152 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/28/2004 Applicant: VICTOR Owner: ORTEGON JOB ADDRESS: 550 NE 101 ST Contractor OBENOUR ROOFING Local Phone: 305 - 757 - 2612 Parcel # 1132060171160 Building Permit Permit Number: BP2003 -516 ORTEGON VICTOR Page 1 of 1 Contractor's Address: 9301 NE 6 AVE SUITE A - 101 Legal Description: MIAMI SHORES SEC 4 PB 15 -14 LOTS 1 -2 -3 BLK 95 LOT SIZE SITE VALUE Fees: Description FEE2003 -1911 Building Fee FEE2003 -1912 CCF FEE2003 -1913 Builder's Bond FEE2004 -5479 Renewal /Extension Fee Total Fees: Amount $450.00 $24.00 Total Feed11,011.00 Total Receipt$1,011.00 J Permit Status: APPROVED Permit Expiration: 10/5/2004 Construction Value: $40,000.00 Work: RE ROOF TILE ROOF ARTEGANO BARREL TILE ONE COLOR / THRU & FLAT ROOF SYSTEM PAID EXSTENTION MAY 28/2004 MAY 2 8 EHTD Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Owner's Name (Fee Simple Titleholder) �J Owner's Address /(-) Tenant/Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 3313 T 1:�8 p " \! K ri ) 756.8972 BUILDING MAI 2 ; 2004 Permit No./M 57L PERMIT APPLICATION 1��' _ Master Permit No. FBC 2001 Permit Type (circle): Building Plumbing -1,44/1 d ki C (00 V C Phone # /o i City /tt' ,QH). j Shot e) State Electrical P- 0 0 Zip 3 Phone # Job Address (where the work is being done) 6 -67) X / 0 ( STV C r±" City Miami Shores Village County Miami�Dade Zip Is Building Historically Designated YES NO , V / Contractor's Company Name (/ t ll1 0 U ✓ Phone # c/)S 757 ,74,/ Contractor's Address 93e) / e 6 AA. £ T AlQ x2/ cit 094-i l h o S Sttate F./ Zip 3 Qualifier �Tr 4[ lS e)b -c)b1..+' Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ['Addition ❑Alteration / / &ri!c/ ❑New , pair/Reeplace El Demolition Describe Work: � 0 �r-,J� n f i " Guch --tA- * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ Notary $ Training/Education Fee $ Technology Fee $ . Scanning $ Radon $ Zoning Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ p 6fk 4 1 (Continued on opposite side) Bond $ -en e cv ?4 Mechanical. Roofing CO /CC Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City to Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a con promise in good fai at a c whose property is . bj - ct to a for the first insp -ction which inspection will of be ppprove Signature Owner or gent qq The foregoing instrument was ac owledged before me thi�0 day of 20v' , by /Lc An cL L" l toDt,Y V k ... , who is person 1y known to me or who has produced As identification and who did take an oath. Print: State NOTARY LIC: Sign: ,ri eiou., 2OOSl Chc 12/15/03 APPLICATION APPROVED BY: ition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must py of the notice of commencement and construction lien law brochure will be delivered to the person achment. Also, a certifred,copy of the r5corded notice of commencement must be posted at the job site ccurs seven (7) days after the building permit is•issued. 1 the absence of such posted notice, the and a reinspection fee will be charged. Signatur The for day of State Certificate or Registration No. Certificate of Competency No. Zip Contractor ing instrument was ��acknowledged before me this , 14-kc,C'I )D ibr , w( who is personally known to me or who has produced as identification and w . did take an oath. NOTARY PUBLI Sign: Print: Jiro a der Commission # D O I'2. ' 4 •. � _�� A I,II t..I My �.viiuiu aaio►r Bonded Cisy t * * * * * * * * * * * ** ** i<► iR********************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning 90 3nt+d BIGH vsLOCI'TY NOBRICARR ZON 5 - RECTJIRRD QWN7Zk5 NOTIFICATION FOR ROOFING CONSIDERATIONS 11524.1 scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the .Florida Build.ng Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addres as part of the agreement between the owner and the contractor. The owners initial in the designated space indicates that the item has been explained. 1. Aestbetics workmanship; The workmanship provisions of C hapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues stch as color or architectural appearance, that are roc par; of a'zoninq code, should be addressed as part of the agreement between the owner and the contractor. 2. Rdnailing Wood necks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current- provisions of C hater • 16 (High velocity Hurricane Zones) of the. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs; Common roofs are those which have no visible delineation between neighboring units (i.e,, townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed c illogs; Exposed, open beam ceilings are were the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The provides the option of maintaining this appearance. 5. Ponding Water; The Current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low- lying are of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident uocii the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Ocuppere (wall outlets); It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided, It may be necessary to install overflow scuppers in accordance with the requirements of; 7, V ile ica; Most roof structures should have some ability to vent at ral airflow through the interior of the structural assembly (the uildin• itself). The existing amount of attic ventilation shall not be redu d. It may be beneficial to cons der additional venting which can,re-u t in extending the service life= the roof gnature ( Date 'ontractor's Signature E'NIa1IIns ?L9b98 tS Z, :'j Sutl' /CIT I Low Slope ❑ Asphaltic Shingles High Velocity Hurricane Zone Uniform Permit Application Form 116() Section A (General Informationl Master Permit No. Process•No. Contractor's Name Job Address ROOF CATEGOP.Y ❑ Mechanically Fasteneo Tiie 0/Mortar/Adhesive Set Tile ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof L'kf Re-Roofing CI Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) ij93 6D9-3 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and locatioR parapets. -_ i - %t 1 t _ _ -i :. ..._. I • • I I_' I_'_l' I TL^'%' ;"t ; r i J ' l i i i_i - i r �.r_� Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as - NA') System Manufacturer: A NOA No.: . 40& . 16 Design Wind Pressures, From RAS 128 or Calculation,: Pmax t : 52 Pmax2: X37. Pmax3: /3/. Y Max. Design Pressure, From the Specific NOA System: , S' Deck: Type: UJD(X.l 1 Anchor /Base Sheet & No. of PIy(s): kitA Gauge/Thickness: Slope: Anchor /Base Sheet Fast er /Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener /B nding Material: N /4' ✓I Top Insulation Size and Thickness: iti 1:4- Top Insulation Layer: PIy Sheet Top Ply: High Velocity Hurricane Zone Uniform Permit Application Form Top Insulation Fast n /Bonding Material: Base Sheet(s) & No. of Ply(s): 6 Ac 4(44 76 l r tc4P Bls Sheet Faste er /B nding�n na : 1 )i Nc p PIy Sheet(s) & No. of Ply(s):1 sl ner /Boning Material: ► J� eg -Of S a rf-t 2o,4 Ejt'U- G4/ Top Ply Fastener/ ' Bon ing Malone! ,a p a. r Surfacing:. A)01.6 Section C (Low Sloped Root .System) Fastener Spacing for Anchor /Base Sheet Att2chrnent Field: ' oc @ Lap, / Rows a @ q ' oc Perimeter: cv _ oc @ Lap, # Rows 3 @ • oc corner: 4 nc L Lap, # Rows ' © G ' oc Numper or Fasteners Per Insulation Y /A Field Perimeter Corner Board Illustrate Components Noted'and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. �-- 5TUGC.0 -� q o■Late et sc,/reaft ieatF4 � • - n ALdfr rr�,f4c �4f"4$ it Ai vac( C,af' rimr 'FT. A 5c. .) .,IPr. 431% ef, FT. Mean • Roof Height Parapet Heioht hcie e.'/ -- / 3 / V >(5=83 7 66 Roof System Manufacturer: 4(I -0 c, �1G ',j k1 � Oc Notice of Acceptance Number: _ 00 f - C 1 76 Q3 . .2_V Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): pi _ G. G 7 __ P2 : /e 33 P Maximum Design Pressure (From the NOA Specific System):___M Method of tile attachment: Roof Slope: 3 : 12 Ridge Ventilation? C IA• Florida Building Code Edit :on 2002 High Velocity Hurricane Zor.e Uni,orrr, Permit Application Form. Section D (Steep Sloped Roof System) Steep Sloped Roof System Description Deck Type: ype Underlayment: Insulation: Fire Barrier: Mean Roof Height: I( W #' T M 73 2 2 (, (a astener Type & Spacing: dhesive Type ype Cap Sheet: oof Covering: 2 ST frt b 2'f-' q 4' ZA 0 4 -ijN D MADE Type & Size Drip NI/V- tonl Edge: 2L 4a lt.r M Required Moment Resistance* Mean Roof Height - Roof Slope I 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 304 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 • 84.9 6:12 . 26.4 28.0 29.4 30.5 32.4 7 :12 24.4 25.9 27.1 28.2 30.0 Where to Obtain Information Description Symbol Where to find Design Press= P 1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope g Job Site Aerodynamic Multiplier 24.. NOA Restoring Moment due to Gravity M NOA Attachment Resistance Mr NOA Required Moment Resistance M, Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance F. Calculated Average Tile Weight W NOA Tile Dimensions 1= length w= width - NOA All calculations must be submitted to the Building Official at the time of permit application. Florida Building Coda Edi:i&n 2002 High Velocity Hurricane Zcne llama Permit Applicatior. Form. Section E (Tile Calculations) For Moment based tile systems, choose either Methcd 1 or 2. Compared the values for M with the values from M f. If the M values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calc•il:,tions Per RAS 127" (P x .Z2 = (b.Y1) - Mg: R. _ = M1. k4 7 NOA (P2:IW x A. ) - Mg: 3.8 =1%2 4) NOA M / / /-7 ( P 3 : (00. rP x X . 22- _ /I./ 3 ) - M ? = m f.99 NOA M / //- Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mr *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P x1: = x w:= ) -W: x cos B: = F (P2 : x 1' - x w: _ ) - W: x cos B: = Fr2: (P3: xl: = x W:_ ) -W: x COS 6: = Fr3: NOA F' NOA F NOA F' SECTION 1524 • 141GI1 VELOCITY HURIUCANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDER AT 101∎S 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the , ninimurn requirements and standards of the industry for roofing system installations. Additionally, the follow'n3 items should be addressed as part of the agreement be the owner and the contractor. The owner's initial in the adjacent box :ndicates•that the item has been expl ed. 1. Aesthetics - Workmanship: The workmanshir provi: of Chapter 15 (High Velocity Hurricane ZOrle) are for the purpose of providing that the roofing sy;tzm meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be`ad? pessed as part of the agreement between the owner and the contractor. a'. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be rena'iled in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zo tzs) of the Florida $tatjing Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring uth(s (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or o should notify the occupants of adjacent units of roofing work to be performed. 4. reposed Ceilings: Exposed, open beam ceilings P n are where the underside of the roof.decktng can be vie from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the o1ii p of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cue water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the al roofing system is removed. Ponding conditions should be 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in act()l�tnce with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof; "-`'� Owner s/: gent's Signature C:W OCJ:d1 C- P<m P‘LOCidLS- 1∎7Inip∎SLCTIO.I 11:1.C.c / Date ontractor's Signature ROM : ArteZano C1ay Products • FAX NO. : 954 -456 -9748 . M1AM lDAtaE BUILDING CODE COMPLIANCE OFFICE (13CCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA Artezanos, Inc. 9455 SW 78` Street Miami, FL 33173 May. 20 2004 08:48AM P1 MIAM1-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130.1563 (305) 375 -2901 FAX (305) 375.2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ): This . NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. if this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product. is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Artezanos World Class LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be miter for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA # 00- 0920.07 and consists of pages 1 through 4. The submitted documentation was reviewed by Frank Zuloaga, RRC. NOA No 03- 0807.03 Expiration Date: 12/14/08 Approval Date: 12/23/03 Page lot 4 •ci tROM : ArteZano Clay Products FAX NO. : 954 -456 -9748 May. 20 2004 08:48AM P2 ROOFING ASSEMBLY APPROVAL Category: Sub Category: Material: I.SCOPE This approves a roofing system using "World Class Two Piece Handmade Tapered Mission Barrel Roofing Tile" Clay Roof Tile, as manufactured by Artezanos, Inc. described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Test lvtanufactured__ Dimensions Specifications Applicant 2 Piecce Handmade 1= 17" ASTM C 1167 Tapered Mission w = 7" Barrel Tile 1/2" thick Trim Pieces 3. LIMITATIONS 3.1 3.2 Roofing Roofing Tiles Clay 1= varies w = varies varying thickness Product Pescrintlgn High profile, two piece, bagel, clay roof tile. For direct deck mortar set applications. ASTM C 1167 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Fire classification is not part of this acceptance. For mortar or adhesive set tile applications, a static field uplift test in accordance with RAS 106 may required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. NOA No 03- 0807.03 Rnpiretinn irate: 12/1 Approval Date: 12/23/03 Page 2of 4 Table 4: Attachment Resistance Expressed as a Moment - Mt (ft Ibf) for Mortar or Adhesive Set Systems Tile Profile Tile Application . Attachment Resistance Two Piece Handmade Tapered Mission Tile Mortar Set 57.4 Adhesive Sgt 111.4 1. Place 42 grams per pan and 42 grams per cap of PolyProTM_ Table 9: Restorin, Moments due to Gray - M. ft -1 Tile.. .. profile 2":12" 3•:12 4 ":12 °......_.... 5 ":12" 67-:12 ".. __....7u:12' _ Two Piece Handmade Tapered Mission Tile 3.9 3.8 3.7 3.6 3.5 3.4 Table 2: Aerodynamic Mufti • tiers - A X. Direct Deck Application Tile Profile Two Piece Handmade Tapered Mission Tile _ 0.22 Table 1: Average Weight (W) and Dimensional' x w) Length - I (feet) Width - w (feet) Tile Profile Weht -W (Ibf) _ `S' Clay Roof Tile 5.8 1.42 0.58 I FROM : ArteZano Clay Products 4. INSTALLATION 4.1 "World Class Two Piece Handmade Tapered Mission Roofing Tile" and its components shall be installed in strict compliance with Roofing Application Standard RAS 120. 4.2 Data For Attachment Calculations 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufactures, name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 61.1 Any other documents as required by the Building Official in order to properly evaluate the installation of this system. 7. EVIDENCE SUBMITTED Test Agency Test Identifier Testwell Craig , Lab #ABM -4 Laboratories & Consultants, Inc. Testwell Craig Lab #ABM - 20 Laboratories & Consultants, Inc. Testwell Craig Lab #ABM -1 Laboratories & Consultants, Inc. FAX NO. : 954 -456 -9748 May. 20 2004 08:49AM P3 Test Nante/Report Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Physical Properties . ASTM C 1167 2003 Date January . 1995 November 1995 NOA No 03- 0807.03 Expiration Date: 12/14/08 Approval Date; 12/23/03 Page 3of 4 t� • • FROM : ArteZar Clay Products • PROFILE DRAWING ARTESANOS, INC. is 2 PIECE HANDMADE TAPERED MISSION BARREL TILE FAX NO. : 954 456 - 9748 3" 1 .The Tiles Shall be Indentified by This Stamp ARTFIANO'S WORLD CLASS AR EZANO'S INC. (305) 595 -9352 Made in El Salado, Colombia END OF THIS ACCEPTANCE May. 20 2[ 4 E:50AM P4 7" NOA No 03- 0807.03 Expiration Date: 12/14/08 Approval Date: 12/23/03 Page 4nt 4 lit/HA Nit DACE PRQt)UC CoNTR OT ijC: o i .&CC Pelyfoam Products, Inc. . 2400 Spring- Stucbncr Road Spring ,TX 77383 -1132 Your application for Notice al Acceptance (NOA) ot: Two Component Polyurethenc Foam AclImive under Chapter 8 of the Code of Miami-Dade. County governing the use of Alternate Materials and Types or Construction. and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (13000) tinder the condi specified herein. f!lir: NOA. shall not be valid after the expiration date stated below. BCCO reserves the right .to secure this product or material at any time from a jobsite or manufacturer's plant for q control testing. If thin product or material fails to perform in the Approved manner, SCCO may revoke, modify, or suspend the Use of such product or material immediately. 3CCO reserves die right to rcvokl: this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida l3uilliing Code. The expense of such testing will be incurred by the rr • ACCEPTANCE NO_• 01-021.02 EXPIRES: 0$/10/20116 ul r(UdrI C Produ C orcrol Divisic,i IS TUE COVERS SETS: ADDITIONAL S Felt �1 'F CI):1C A N j __ _ COIN n TTTONS Ui CtiNC► COnr- . � rrtCn�c R FvrEw corsiyITTEE A P PRO Vl%1) ;_061 1 4/2001 'A iiiisonoikpr \(ternoccilnotl4 ucepunte co-+cr plgt on, Internet Inuit address: pnstmnster ghuildiltgencicuillinc,cum I O' d P81788SLSOC 01 PLCC969SOC rvi,irv.tA MIAMI -DADE COUNTY. FLORIDA METRO -DADL- FLAG LER BUILDING OUILn1NG COnc C(3 OFFICE nICTRO- DAD E. Pl. ACI,ER WM—DINO I•Itl lyliST FLAGLER STREET. M!I" E IGil,a r Lor(ii),\ 31130 -150 13:1$) )75- 2`Jii1 IT,\X ()OS) }75.290 CONTRA C)'Uk LICkMSINt: SECTION l?M'5)3/5.2127 P. \X (3 3 -2S:,r L'oivI'It.lCV'Ult EN i' OItCe : \t I:N'r 112\'ItiION 1 ]75 -191,6 VAX (]05) )?5-2')III1 I Itc.)0vc' caN elvtSIUN (3 °5) 173 -2902 I (.1)5) 37; -o3;,y This application for Product Approval has been reviewed by the BCCO and approved by the Building. Code and Product Review Committee to be used in Miami -Dada County, Florida under the conditions set forth above. 1 :).Y.,(44,-.1; 1C4 0 t=rancisco J, Quinlan i, R.A. Director Ref lam i - Dario Coil fluilding Cc?cic Compliance Oitice lel 002 linmcpa6c: httri://www.buildingcnileoitlinc.com O IQdtlt3 d d ' S T >JO92 r• ROOFING ASSEMBLY APPROVAL C`itceury_ Roo ring c►uh Approval (�ate: .Tunc 111, ZRA! Q►tctnry: Roof Tile Adhesive --�~ —�--� l::cpiration Date.: May 10, 2006 Z30'd 111 L' 11 VO 1.•1:1 a.J•1 V1V 1 Per I,yfnam Products, (flit ACCEPTANCE No_ : 01. 0,521.0'' MALiirl:►ls: Polyurethane 1. SCOPE This approves l'olyprue A - !160 as manufactured by Poly foam Products, inc. as aescri,bed in Section 2 of this Notice Of Acceptance. for the !potions where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved tint, low, and high profile root - tiles system using PolyproOD Ali 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by Anel[cnt Polypro® AHI60 Dimensions „N/A Poamprocg RT1'I N/A ProP:►cktO 30 .k !00 2.1 Components or products manufactured by others: Any Miami -Dado County Product Control Accepted Roo l" rile NScItntbly having a current NOA which list uplift resistance values with the use of Polypro Al 1160 roof tile adhesive. 2.2 Typical Physical Properties: 1242,2w-n Test Density ASTM D 1622 Compressive: ASTlvt D 1621 Strength Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor ASTM 2 96 Trr;usm ission • Dimensional ASTM D 2126 Stability. 1 01 t,L63963S06 i V1. L1 V.lel 11 \VVl'L. .1.1. 1..4 • Test Snecificittinns PA 101 N/A Dispensing Equipment R esti1Is 1.6 IbsJft' 13 PSI Parallel to rise 12 PST Perpendicular to rise 28 PSI Parallel to 0.08 Lbs./F( 3.: Perm / loch +0.07% Volume Chance u. -40 F.. 2 ■vect' . +6.0;; Volume Change r) I I tttl,i trty. 2 wceks Product Descriptir n Two component polyurethane Dispensing Equipment ti 0 11 Zutonbn. ItRC Product Control Examiner 0JQhdi3 dd t :9I 6002 20 ldN V4 LW. ls:u0 C;4.1 J :/A 4044 CVL ?CVc :,�l F l.�V. CO d t jyfoam Products Inc. ACCEI'TANClE No. : O1.0.31.02 Note: The physical properties listed above me presented as typical average values ns detcrttrined by accepted ASTM test methods :►nd ltrt; subject to nornial tn; variation. 3. LIMITATIONS 3.1 (rc classification is not part of ;his ai :ccp►1nce. Refer to the Prepared Roof Tile: Assembly for tiro rating 3.2 Polypro® AI-1160 shall solely be used with flat, low, R high ifl profiles. 3.3 Minimum undcrliymcnts shall be in compliance with t1►c Rooting Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the us.ce. of Polyprot Af•I I60 roof vile adhesive with their tilt assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for twvc paddy placement with the use of Polyproi A1 roof vile adhesive with their tilt assemblies shall test in accordance with PA. 101 and with section :0.4 as iltoditied herein, P8r89SLSae Cpl t;_CCS69S ©0 3 w ms 4, INSTALLATION 4. Polyproal AH 160 may be used with any rocf tilc assembly having a current NOA that is uplift resistance values with the. use or' Polypro i AI -1100. 4.? Polyproe A1 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein The roof tile assembly's adhesive attacimient with the use of Palypr A1.1160 shall provide sufficient attachment resistance, expressed as an uplift based systcm, meet or exceed the uplift resistance determined in compliance with Miarm -bade County Roofing Application Standards RAS 127, The adhesive attacluncnt data is noted in the roof tile assembly NOA 4.3 Polyproe Ai-l160 roof tile: adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Produces, Inc. PolyproQ) AH I60 Operating instn crion and Maintenance Booklet. 4.4 installation must be by a Factory Trained `Qualified Applicator' approved arid licensed by Polyfoam Products, fnc. Polyfoam Products Inc. shall supply a list of approved applicators to the autho having jurisdiction, 4.5 Calibration of the Foamprog dispensing equipment is required before application of any adhesive. The mix ratio between the component and the '13" component shall be maintained between 1,0 -1.15 (A) : 1.0 (D). The dispense timer shall be set to deliver 0.0175 to 0.15 pot per tile as determined ;.t calibration, No other settings shall be approved. 4.6 Polyproe+ AI-I 160 shall be applied with Foampro ItTF 1000 or Prol'ackC 30 & I00 dispensing equipme.nt only. 4.7 Polyproe Al•I160 shall not be exposed pern►am..ntly to sunit Brink Z iloaga, RRC Product Control Exatnitwr oDad8a ±9 SS:9I 0002 Zr ydH .., 1 .1• VV 1 11 .111 1':1.. 414•1 41 0 1.'14 r•0 rAll 111:1 1. ?. 1:11. ME) 'd Pu1yfoattt Products Inc. 4.8 Tiles must be adhered in fri!sltly applied adhesive -Tile must be set within 2 to 3 minutes after PolyproLD Al-I IGO has been dispinsed 4.9 Polypro0 Af-1 IGO placemer.t and minimum patty weight shall be in accordance with the 'Placement Details' herein, 1Tacn generic tile profile requires the specific placement noted herein. Table 1 Adttcsi� 1� c lace,urnt For Each Gencr,c - file Profile 1'ikProGlc 1 1140cntcnt Single Paddy f o Paddy Weight Flat. Low, hfit;h Profiles Hish PrOlilc (2 Piece Harrel) ! • P • t� d N A Flat, Low, HO Profiles #1 34/p nn Flat. L1 l• nc h Fras N3 -- l LABELING All Polyproi AH 160 containers shall comply wi :h tha Standard Conditions listed Herein •G. BUILDING P!' Ctw1IT R.CQUIREN1 s 6.1 As required by the Building Official or applicable Building Code it order to properly evaluate the installation of this system t8t785SLSOC 01 t. x_99969569 ACCEPTANCE No.. 01 0521.02 Detail ,41i (grants) per paddy Mitt. (grams) ii d t 35 r NIA 17isic'� nn 1 l 1 NIA ("rankZuloaba, RRC Product Control Examiner L J .nr ODGU83 ad SS:9T co 6? F6 adu n/13.'03 THU 17:10 MI 954 575 1042 VULFVAM SO • d Ein Count Luh Chun Ni 1.4u■ Clung Polvioarn Produsts, roc. intago Clttnefll 3niularnenl MAI!lhco,cglIplitilc won! lmr1orlap9ans IP In, fp. mit ow Kt.; 4 PO tom& 113, ,/ 1 (orn *cc pholtA ACCEPTANCE:: No. : 01-0521.02 ADHESIVE PLACEN1ENT DETAIL 1 SINGLE PATTY h3hitum,s7.10 2141uta gi cc:1 0111ta Ofq Witit Idne4).. leerei 4 W. u; 1 4••pnal., liveugn claulc ;twat thu(Innen CMst Fin:urn 14.4p nthal,A mon - 1rpilr■rusrlic (to 1) FlaGt C60.10h JahtliVC la 17Io 23 044p pilch nclIcatIono itia■P4 Ctuha .iin the on Ith ‘01 ■ race In In re 1 in, Fain 0411311111 ildj. 41 co.( lih, Th.n 6.411 Olt. W.C4preni Ramo.. niqn n cl Hag tr.ti e te•ct 4 1:04 to Hod c oun t d ta■ 4:11 Er/3 , 0111..41111W el csA 3 04 VOKI elf I Ift Rush 11401 ckndit ',Mu( shawl, Vienho e.gb rrzta, ZnIong.1, ItRC: Produi3 Control Examini.:r NaJ .L•ouph wain' Ociami Serino ilen4r tangliolhAl olgvc 7111 Vitctiq to 0 6 P81 01 VLCCSS9SOC 0013U88 8d 9S:81 COI:1Z! 20 8813 u: %AJ uJ 1114 A1.J P r,A..t. b34 Jr4 A044 ru ruAJl Polyfoam Products, Inc. Nail tnrouoh plaa;i: cement Unde y:.ent \� Ero Cane Mepha{e Live a :oaUle .. N.tlrip root cne Came ' ay(Be cull through ptacUc cement 7 i tot Ccune Eta Clan uta 90'd O9P88GLS06 01 PLCC969S06 ADHESIVE PLACEMENT DETAIL 2 SINGLE VATly 6 ACCEPTANCE No. : 01- 0.521.02 HlII Ihrcuon al.a(IC cement Uneeraymenl 1 7 Fait la ..� L7re Cv. IM hddy(t3enutr Tye) Frank Z loaga, RItC Product Control Examiner teJuu1 0JQddl3 ad 9G:91 0007 20 ddIl ,L0 • cl Polyforitu Products, TIK. • YAMAII• •••,•■•• • ■•••••/..., ••,, • ADIIES1VE 1LACEts,1ENT DE 3 DOuBLE PArrY !Mole podgy on top of We ftieCuue 7 A No, : 01-05 Single ploy on lop of tile ( ‘e•'—i Sinak paddy •■•• under We t I 3 in, SIng's paddy on under laymen: crime 01 IT in, medium slao paddy pp') FJ1Cf3 sours.o only 1411 tcu plastic cerrxrit, lincitiWyMtrl • 0 - 7 ,e1 In, 31n, Single 4 I in. pulfh on odor layronni Hall ihrcup plastic cemsni I 3 In. Single pday onunderlaymenI SInglo peen, under iile Single paddy be Noon ilia Eayol,:lesve 7 In, t 7 In. modhAl size paddy ca.c COVM only s•-• Fascia •■• Init Zuloava, R RC Product Control Single paddy undor Ilia Single paddy ceiweer Ille 7 In. y 7 in rneciurn Pzddy ivO cotosc only Fascla Wcapno4 '‘Eiva closure Orip vagi P8r88SLSOC 01 VLOC969S0C opatias dd LS:91 CODE 7.0 'dciti ** 80' 391dd 1ti101 80'd Polvf4nm Products. Inc. ACCEPTANCE No. : 0101 - 00521,02 1. Renewal o f this Acceptance (approval) shall be cnnidere:d attar c, renewal application has beer; fil and the original submitted documents, including teat»supportttlg data, cngireeermg documents, nr4 elo alder than eight (8) years, 3. Any and all approved pp procucts shall be perm:wk.:na }' tilt the nlantiencturer's name, city, state, and the following stater ''Miami -Dade County Product Control Approval ". or as specifically stated in the spccilis conditions of tills ACCCptnticc. 3 Renetvali of Ac cpt:ltice will not be considered if: a. There has been a change in the South Florida Uuilderhe Code at'Ii:etitl the evaluation of this product and the product is not in compliance 'v;th the code change.. b. The prod•.tct is no Ionl,er the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied ■vith all the requirctllrnts of this acceptance, Including the correct installation of the product. d. The engineer who Originally prepared, signed and s' tt er S sealed the reciurrrd documentation Initially submitted, is no longer practicing the c:nginct:reng profession 4. Any revision or change ;n the materials, use, an(L'or manufacture of the product or process shat! automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the Filing or a revision application with approprial',: fee) and gra.ated by this office. a. Any of the following shall also be grounds for romoval of this Acceptance: a. Unsatisfactory performance of this product or process. b Misuse of thlis Acceptance as an endorsement of any product. for sales, advertising or any other purposes ti Th Notice of Acceptance number preceded by the ■v'ords Miami-Dade County Florida, and tol;otted by the e:xp: ration date may be displayed in advertising literature. If any portion of the Notice or Acceptance is displayed, then it shall be done in its entirety. 7 A. copy or this Acceptance as well as approved drawings and outer documents, where it applies, shall be provided to the user by the manufacturer or its distributors , -,,lo shall bc avail;tl,Au for inspection at the job sit: at all tiny. The engineer aced not reseal the copies, g. Failure to comply with ally Section of t,iis Acceptance shall bc cause for terminotion and removal of Acceptance. 9. This Notice of Acccp!ancc Consist: of pages 1 through R. END Or THIS ACCEI'TANCF 178PS8SLS3E 01 hLET968S0C /_ulonga, ItItC Product Control Examiner C.C >4-4 ! C : Q T c+r. ray -,ra . RgAMIT APPLICATION FOR MUNICI OF DADE COUNTY (OWNER TO RETAIN COPY) 5 r✓, / of Date 70? Job Address Legal Description Qualifier Notary as to - ;' My Commission PERMIT FEE', Owner / Lessee / Tenant Owner's Address C - 1 d Phone Address _f<7 z- Z T Contracting Co. / 4 ly arje Statel /eed O3 9 f�o Competency# /4� / Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): Signature of Owner and /or Condo President Date: BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SI( WORK DESCRIPTION �� .$�-5 f I/��� ,v Z ‘-- ✓ < D a C�E f Xiith 9e lic-d, .i ' r A g Square Ft. /0Ov .Sy G 0 7®00 °--' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE 'I DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YC INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, ar on the attached addendum (if applicable). I certify that all work will be performed to meet tt standards of all laws regulating construction in this jurisdiction. I understand that separat permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all wor will be done in compliance with all applicable laws regulating construction and zoning Furthermore, I uthorize'the above -named contractor to do the work stated. er or Condo President Exp ri: APPROVED: Mechanical 10 r * * Fire sso Phone 63 5 - - Zoning Building g dI / Tax Folio" J0V6 � 17 00 Master Permit. # ��✓��� Ins. Co. � / _ A'S', Signature of Contractor or Owne Date: Notary as to Contrac �' or •.er- Builder My Commission Expires roc •••1 F:JR' „C Electrical r lder Plumbing Engineering New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ Permit No.. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. A '� s d_ Owner's Name and Address r Y l" i� 8 ... No.. 5....... Street , /0 / S 1 ` s r Registered Architect and /or >;ngineer .......... i .. ... _..._ f- , u o - l e �v -,-r c . // S�t /7 7 H , Namc and address of licensed contr,�ctor.. ' . ..� � .._ _..._...... ... Location and legal description of lot to be built on: Lot Block . Street and Number where work is to be done 37 4/' / 0 - I t, State work to be done and purpose of building (by floors)... - k o d L Date._ Building Inspector Chairman Member Member ...... _....._..._...._.. Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re inspection fee of $1.00 will be charged materials and/or workmanship. Date..._...__...._._ S ..._�_......__..._.... ,19� J and for no other purpose. Addition Repairs' No. of Stories Roof hovering So P -1 ° )- i S /9 CA,r t Amount of Permit �1 S 1 C� e —i e 4? - _ Zone cubage required .. .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. . 1....a r ' a ►" Q a € 7 ' C C . � -►, c / sA/ / : " / 7 T e {. The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such stikcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks._. (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated � true. N(� �/ Date bs.� l ( Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD _.._......DATE Member Member Member Date Disapproved or changes to this application after approval to me well known, Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Mr. C a r i n m) No 5 5 0 Street N. E. 101st St. Registered Architect and /or Engineer Name and address of licensed contractor 0 b e n o u r Roofing Co. 7357 N. W. Miami Court Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Install 4 ply asphalt and gravel on f a and tile roo on mansard overhang. and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 6 s q s . Estimated Total cost of improvements $ 484 , 00 Amount of Permit $ 5.00 Zone cubage required .Plan Ctibage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor___. . I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such blic notice or notices as are required by the Act. The undersigned agrees to employ only su subcontractors, on work to rforunder this permit, as are licensed by Miami Shores Village. Remarks - (Sig e;? 'Qe STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Disapproved ( Signed) Council Approved MIAMI SHORES VILLAGE APPLICt'TION FOR BUILDING PERMIT Date D BUILDING INSPECTION DEPARTMENT (a -1i Date O c t o b e r 18 , 19771 to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspect My Commission Expires PUNNING BOARD_.- .___.. DATE Chairman Member Member Member Member __ . Member _Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspe, uon or faulty materials and /or workmanship. Owner's Name and Address A. J. C a r i n o Permit No 12 7w Date Disapproved �n) __ .... ,. Date (Signed) `C". =--- Building In ector Chairman ______ - Member Member Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of plans and specifications must be kept at building during progress of the work. Registered Architect and /or Engineer Name and address of licensed contractor 0 b e n o u r Roofing Co. 7357 N. W. Miami C t. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 550 N . E. 101St St. State work to be done and purpose of building (by floors) Install 4 ply flat area and white shingle tile on mansard overhang. and for no other purpose. New Building - Remodeling Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 8 _u tile Estimated Total cost of improvements $ 8 00.00 Amount of Permit $ 5.00 Zone cubage required _Plan Cubage Size of Building Lot Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work s public notice or notices as are required by the Act. The undersigned agrees to employ only such S ubcontra prs, on vyork to rf ed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. /2 - PLANNING BOARD_ Date Date No 550 December 3 Street N : E t asphalt and gravel on Read, Sworn to and Subscribed before me. the build - of Miami rules and approved Is7 0 101st St. Notary Public, State of Florida My Commission Expires DATE Member Member Member Disapproved .Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inset, tion or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building d Owner of r Building 0_ ( fr.- 1 fir.` s.• MIAMI SHORES VILLAGE. FLORIDA Lot PERMIT N? 6895 B1 Work to be performed under Subdi vision Value of Project BY $ 1/ 7 DATE `"' 195 Contractor's License No. this Permit Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements dr sp ifications submitted to the proper authorities of Miami Shores Village. In ac. cepting this permit I assume responsib' ity for all work done by either, self, /urgent, servant or employee. i/ /, t Iv CONTRACTOR OR BUILDER AUTHORITY Architect Contractor's License NO Contractor or i uilder Legal Description Address of Building CONTRiACTOylb -'OR •BUILtER 15563 Work to be performed under this Permit Subdi- vision, Value of Project $i Amt. of Permit This petmit is granted to the contractor or builder named above td'construct the building or to install the equipment or device described in the application herefor in: strtet ceinplianc`,e with all ordinances pertaining thereto 'and with the understanding "that the work wil'1 'be performed in compliance with any plans, drawings, statements or specs cations that ttlay Jae been submitted. to and'; approved Eby the proper m inicipal authorities. This Perrriit m . be revoked at any the .: . 1 p g upn time if the work is one in comjlianca.wit such ozdipavnces or � �£: the laps are'¢h�an 'Changed without authorization. A further condition o which this permit is , ances and regulations gtanted is understanding :th t.the contractot ,builder named a .bdv� assumes the responsibility nsibility fot a thorough knowledge of the ordinances to the work', cbvered hereby whether shown on the plants or drawings or in the statements or specifications and that he assumes responsibility for work done• his agents, servants of employees. Signed: ! BY INSPEOTOR In consideration, of the issuance to '110'4 permit; I agree. to yp the wotk coveted hereunder in compliance with all ordinances and regulations pertaining thereto and in strict .conformity ` with the plans, dra rigs, statements or specification's" submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY